Individual
MRS. KIMBERLY L WIGGINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1225 CRANE POND RD, PHILPOT, KY 42366-9206
(270) 993-3002
Mailing address
1225 CRANE POND RD, PHILPOT, KY 42366-9206
(270) 993-3002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY 4398
KY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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